Pre Service

Edit Answers
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Across
  1. 2. Medicare Advantage PPO
  2. 3. a percentage that is paid
  3. 5. used to locate member in CAS
  4. 6. tool used to locate commercial plan COB
  5. 10. used to locate benefits
  6. 11. Pre Service main tool
  7. 13. other insurance
  8. 14. PCP required no OON benefits
Down
  1. 1. no referral no PCP has INN & OON benefits
  2. 2. Used for skilled nursing info
  3. 3. Dollar amount that is paid
  4. 4. Tool used to locate Medicare members
  5. 5. Average time spent on calls
  6. 6. Used to locate documents
  7. 7. Medicare Advantage Private Fee for service
  8. 8. Skilled nursing facility
  9. 9. Used to locate Medicare OI
  10. 12. max dollar amount to be paid by member
  11. 14. no referral no pcp no OON benefits